Evaluación de la articulación temporomandibular en sujetos con síndrome de Down

A.P. Salazar , J.C. Nery , L. Leal Donini , V. Paim Nora , S. Rizzo Nique Peralles
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Abstract

Background

Subjects with Down syndrome present hypotonia, stomatognathic alteration system, such as small oral cavity, macroglossia and malocclusions, may suggest a higher risk for temporomandibular disorders.

Aim

to evaluate the temporomandibular joint of Down syndrome subjects with, to verify temporomandibular disorders prevalence and possible postural associations.

Methods

Forty subjects was included in this study. Temporomandibular joint was evaluated across functional physical screening and questions about daily habits. After, the subjects was submitted a postural evaluation through photographic registers in front of a crisscross space.

Results

Most subjects was presented temporomandibular disorders (77.5%). The most common signs and symptoms found were bite alterations and parafunctional habits. Moreover, parafunctional habits and pain were positively correlated to temporomandibular disorder in these subjects (p = 0.038 and p = 0.016 respectively). Postural alterations were not significant correlation with temporomandibular disorder.

Conclusion

To verified a high prevalence of temporomandibular disorder and important relationship between parafunctional habits and pain in subjects with Down syndrome.

唐氏综合征患者颞下颌关节的评价
唐氏综合征患者出现低张力、口颌改变系统,如小口腔、大舌和咬合错误,可能提示患颞下颌疾病的风险较高。目的评估唐氏综合征患者的颞下颌关节,以验证颞下颌关节疾病的患病率及其可能的体位相关性。方法本研究共纳入40例受试者。通过功能性体格检查和日常生活习惯问题对颞下颌关节进行评估。之后,受试者在交叉空间前通过摄影记录提交姿势评估。结果以颞下颌紊乱为主(77.5%)。最常见的体征和症状是咬痕改变和功能习惯。此外,功能习惯和疼痛与颞下颌障碍呈正相关(p = 0.038和p = 0.016)。体位改变与颞下颌紊乱无显著相关性。结论唐氏综合征患者颞下颌紊乱患病率高,功能习惯与疼痛有重要关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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